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  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>Journal of Medical Insight</journal-title>
      </journal-title-group>
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      <issn pub-type="epub">2373-6003</issn>
      <publisher>
        <publisher-name>JoMI</publisher-name>
        <publisher-loc>Boston, Massachusetts</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">420</article-id>
      <article-id pub-id-type="doi">10.24296/jomi/420</article-id>
      <article-categories>
        <subj-group>
          <subject>Research article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Robotic Right Middle Lobectomy and Mediastinal Lymph Node Dissection for Adenocarcinoma</article-title>
      </title-group>
      <contrib-group/>
      <pub-date pub-type="ppub">
        <year>2025</year>
      </pub-date>
      <volume>2025</volume>
      <issue>05</issue>
      <permissions>
        <copyright-statement>2017 Journal of Medical Insight</copyright-statement>
        <copyright-year>2017</copyright-year>
        <license xlink:href="https://jomi.com/license">
          <license-p>
            You may create an account, or sign in to gain temporary access for evaluation purposes.
                    To maintain access: please let your librarian know you would like a subscription or send us an email at subscribe@jomi.com and we will forward your feedback to your librarian.
            <uri xlink:href="https://jomi.com/license"/>
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      </permissions>
      <self-uri content-type="html" xlink:href="https://jomi.com/article/420/robotic-right-middle-lobectomy-and-mediastinal-lymph-node-dissection-for-adenocarcinoma">Content is available at https://jomi.com/article/420/robotic-right-middle-lobectomy-and-mediastinal-lymph-node-dissection-for-adenocarcinoma</self-uri>
      <abstract>
        <p>This article presents a robotic-assisted right middle lobectomy with mediastinal lymph node dissection for early-stage pulmonary adenocarcinoma. We opted for RATS for its enhanced visualization, precision, and minimally invasive access in a patient with adequate pulmonary reserve and localized disease. Using a four-arm port setup, key steps include dissection of lymph nodes (stations 4R, 7, 8R, 9R), division of the middle lobe vein, bronchus, and artery, and use of indocyanine green dye to guide fissure completion. Notable findings include tumor adherence to the upper lobe, necessitating wedge resection to ensure clear margins.</p>
      </abstract>
      <kwd-group>
        <kwd>Robotic</kwd>
        <kwd>Adult</kwd>
        <kwd>Advanced</kwd>
        <kwd>Female</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>